2FR-25009-41864
1 vaccination
1 coded response
1 check-in
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 447 / OH
- Registered
- 2021-11-22
- Relationship
- Child or adolescent in my care
- Guardian
- JGL-31566-17422
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-15
Dose 1 — Pfizer-BioNTech
-
2021-11-22
Registered in v-safe
-
2021-11-22
Survey response — day 7, dose 1, dependentMedDRA: Aphasia, Blindness, Confusional state, Dysarthria, Emergency care, Hypoaesthesia, Neurological symptom — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): He experienced severe neurological symptoms on November 17. The symptoms were the same as a stroke, he had to be transported by ambulance to the emergency room. He experienced vision loss, slurred speech, loss of word recall, numbness on right side · Healthcare visit (other): Events from er stated in previous comments. Severe neurological symptoms that were the same as a stroke. He need to be transported by ambulance to the er. He experienced slurred speech, numbness on right side, vision loss, confusionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-22
Report sent to call center — day 7, dose 1, dependentGet care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-11-23
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-15 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 7, dose 1, dependent
Systemic reaction (other): He experienced severe neurological symptoms on November 17. The symptoms were the same as a stroke, he had to be transported by ambulance to the emergency room. He experienced vision loss, slurred speech, loss of word recall, numbness on right side cut off by CDC
Healthcare visit (other): Events from er stated in previous comments. Severe neurological symptoms that were the same as a stroke. He need to be transported by ambulance to the er. He experienced slurred speech, numbness on right side, vision loss, confusion
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Blindness | · | · | ✓ |
| HCVO | Confusional state | · | · | ✓ |
| HCVO | Dysarthria | · | · | ✓ |
| HCVO | Emergency care | · | · | ✓ |
| HCVO | Hypoaesthesia | · | · | ✓ |
| HCVO | Neurological symptom | · | · | ✓ |
| SRO | Aphasia | · | · | ✓ |
| SRO | Blindness | · | · | ✓ |
| SRO | Dysarthria | · | · | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Neurological symptom | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release